La. Admin. Code tit. 67 § VII-1121

Current through Register Vol. 50, No. 11, November 20, 2024

Section VII-1121 - Contractor/Fiscal Agent Responsibilities

A. The fiscal agent shall keep a waiting list of individuals wanting to apply for the SPAS Program.

B. The fiscal agent shall take a pre-application on consumer/recipients who will be placed on the waiting list for services and shall use criteria developed by Louisiana Rehabilitation Services in assigning a priority category for services.

C. When funds are available; the fiscal agent shall send the pre-application and application on the prioritized individual to the LRS Program Coordinator to forward to the evaluation team for determination or redetermination of eligibility.

D. The fiscal agent shall maintain a case record on each consumer/recipient or pre-application. The case record must include, as a minimum, the pre-application form and, if applicable, a copy of the ineligibility letter, personal assistance plan and all amendments to this plan, documentation from medical and/or other appropriate sources, proof of income, and any other additional material which is a necessary part of the application and/or reconsideration for the SPAS Program.

E. The fiscal agent shall perform reconsideration at least annually on all SPAS Program recipients including a determination of economic need for services. If there is a change in circumstances, a revised personal assistance plan must also accompany the reconsideration which is to be sent to the LRS Program Coordinator who will forward to the evaluation team.

F. The fiscal agent shall make available personal assistance management training to all individuals receiving services under this program. Documentation of training including dates, name of trainer and names of individuals trained should be included in the case record.

G. The fiscal agent shall advise the applicant/consumer/recipient of the evaluation team's decision within five working days from receipt of the team's decision if found eligible for the SPAS Program.

H. The fiscal agent shall maintain copies of the time sheets on the attendants in order to document the number of days and hours worked. Payments for the time worked shall be paid within a reasonable period of time after the invoice is received by the fiscal agent.

I. The fiscal agent shall investigate information brought to the fiscal agent's attention which causes question of continued eligibility. This could include such items as falsification of time sheets, misuse of SPAS Program funds, and any other violation of the policy stated herein. This information shall be provided to the LRS Program Coordinator for disposition. If the information provided is substantiated, this shall be reason for denial of services.

J. The fiscal agent shall provide the consumer/recipient with a copy of the SPAS Program Policy Manual.

La. Admin. Code tit. 67, § VII-1121

Promulgated by the Department of Social Services, Rehabilitation Services, LR 17:611 (June 1991), amended LR 19:1439 (November 1993), LR 33:1149 (June 2007).

AUTHORITY NOTE: Promulgated in accordance with R.S. 49:664.6 and R.S. 36:477.